Proximal tibial strains following unicompartmental knee arthroplasty (UKA) : a finite element study

Stress fracture on the medial tibia plateau following unicompartmental knee arthroplasty (UKA) has been reported for years yet the reason for such occurrences has not been fully understood. Previous indications showed that the strength of the tibia was compromised and the support beneath the implant...

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Bibliographic Details
Main Author: Xiao, Xiao
Other Authors: Chou Siaw Meng
Format: Industrial Attachment (IA)
Language:English
Published: 2014
Subjects:
Online Access:http://hdl.handle.net/10356/61609
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author Xiao, Xiao
author2 Chou Siaw Meng
author_facet Chou Siaw Meng
Xiao, Xiao
author_sort Xiao, Xiao
collection NTU
description Stress fracture on the medial tibia plateau following unicompartmental knee arthroplasty (UKA) has been reported for years yet the reason for such occurrences has not been fully understood. Previous indications showed that the strength of the tibia was compromised and the support beneath the implant has deteriorated due to UKA but the origin of such failure is still being studied. This project examined the stress distribution on the proximal tibia following UKA via finite element analysis. Investigations were carried out on how pinholes and extended saw-cuts affect the stress distribution on the medial proximal tibial. Parametric variables include varying the depth of the pinholes, the depth of extended sagittal saw-cut and the number of pinholes. From the results obtained, it was found that the model with shortest pinhole depth of 18 mm has the lowest stress at the regions in the pinholes. It is also found that the highest level of stress was found at the bottom edge of the web cut directly in contact with the implants. The results also showed that fracture was most probable with the extended sagittal saw-cut, increasing the probability with a deeper cut.
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spelling ntu-10356/616092023-03-04T18:18:43Z Proximal tibial strains following unicompartmental knee arthroplasty (UKA) : a finite element study Xiao, Xiao Chou Siaw Meng School of Mechanical and Aerospace Engineering DRNTU::Engineering Stress fracture on the medial tibia plateau following unicompartmental knee arthroplasty (UKA) has been reported for years yet the reason for such occurrences has not been fully understood. Previous indications showed that the strength of the tibia was compromised and the support beneath the implant has deteriorated due to UKA but the origin of such failure is still being studied. This project examined the stress distribution on the proximal tibia following UKA via finite element analysis. Investigations were carried out on how pinholes and extended saw-cuts affect the stress distribution on the medial proximal tibial. Parametric variables include varying the depth of the pinholes, the depth of extended sagittal saw-cut and the number of pinholes. From the results obtained, it was found that the model with shortest pinhole depth of 18 mm has the lowest stress at the regions in the pinholes. It is also found that the highest level of stress was found at the bottom edge of the web cut directly in contact with the implants. The results also showed that fracture was most probable with the extended sagittal saw-cut, increasing the probability with a deeper cut. 2014-06-17T02:38:34Z 2014-06-17T02:38:34Z 2014 2014 Industrial Attachment (IA) http://hdl.handle.net/10356/61609 en Nanyang Technological University 59 p. application/pdf
spellingShingle DRNTU::Engineering
Xiao, Xiao
Proximal tibial strains following unicompartmental knee arthroplasty (UKA) : a finite element study
title Proximal tibial strains following unicompartmental knee arthroplasty (UKA) : a finite element study
title_full Proximal tibial strains following unicompartmental knee arthroplasty (UKA) : a finite element study
title_fullStr Proximal tibial strains following unicompartmental knee arthroplasty (UKA) : a finite element study
title_full_unstemmed Proximal tibial strains following unicompartmental knee arthroplasty (UKA) : a finite element study
title_short Proximal tibial strains following unicompartmental knee arthroplasty (UKA) : a finite element study
title_sort proximal tibial strains following unicompartmental knee arthroplasty uka a finite element study
topic DRNTU::Engineering
url http://hdl.handle.net/10356/61609
work_keys_str_mv AT xiaoxiao proximaltibialstrainsfollowingunicompartmentalkneearthroplastyukaafiniteelementstudy